| NPI | 1518176031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL DO.1278) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101016534) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-07-19 |